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目的评价Snodgrass手术治疗小儿尿道下裂的效果及探讨该术式的适应证。方法对采用Snodgrass术式治疗小儿尿道下裂48例进行总结。患儿年龄最小18月,最大13岁,其中阴茎头及冠状沟型9例,阴茎体型36例,阴囊型3例,有19例合并轻到中度阴茎下曲畸形,4例为第一次手术失败后再次手术。结果一期手术治愈44例(91.7%),术后发生尿瘘4例(8.3%),尿瘘部位主要发生在冠状沟附近。其中1例于术后经尿道扩张,3周后尿瘘自行愈合,其余3例分别于术后半年行尿瘘修补而治愈。全部病例均获得随访,无尿道狭窄发生。结论Snodgrass术式手术操作简便,术后并发症少,尿道成形后阴茎外观满意,对于无或仅并发轻、中度阴茎下曲的尿道下裂以及多次手术失败的尿道下裂,Snodgrass术式是较好的术式。
Objective To evaluate the effect of Snodgrass surgery on pediatric hypospadias and to explore the indications for the procedure. Methods A total of 48 cases of pediatric hypospadias treated with Snodgrass technique were summarized. The youngest child in 18 months, the largest 13 years, of which 9 cases of penis head and coronal groove, 36 cases of penis size, scrotum in 3 cases, 19 cases with mild to moderate penile malformation, 4 cases for the first time Surgery again after surgery failure. Results In the first phase, 44 cases (91.7%) were cured by surgery, 4 cases (8.3%) of urinary fistula occurred after operation, and the fistula occurred mainly in the vicinity of coronal. One case of postoperative urethral dilatation, urinary fistula after 3 weeks of self-healing, and the remaining three cases were cured six months after urinary fistula repair. All cases were followed up without urethral stricture. Conclusion Snodgrass operation is simple, less postoperative complications, appearance of the penis after urethra formation is satisfactory, for no or only mild to moderate hypospadias hypospadias and multiple failed urethral hypospadias, Snodgrass operation Is a better surgical procedures.